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Perioperative patient safety indicators-A Delphi study.

Anette Nyberg1,2, Maria Jirwe3,4, Ami Fagerdahl5

  • 1Department of Nursing, Umeå University, Umeå, Sweden.

Journal of Clinical Nursing
|May 17, 2024
PubMed
Summary

This study achieved consensus on 73 perioperative patient safety indicators using a modified Delphi method. Key areas include the Surgical Safety Checklist and optimizing the operating room environment for enhanced patient care.

Keywords:
Delphi studyoperating roompatient safetyperioperative careprocess registersafety indicators

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Area of Science:

  • Healthcare Quality and Safety
  • Surgical Nursing
  • Patient Outcomes

Background:

  • Ensuring patient safety in the operating room is a global challenge, with persistent surgical complications despite ongoing efforts to reduce avoidable harm.
  • Developing standardized indicators is crucial for evaluating and improving perioperative care processes and patient safety outcomes.

Purpose of the Study:

  • To identify, define, and achieve consensus on perioperative patient safety indicators within a Swedish healthcare context.
  • To establish a structured framework for evaluating perioperative care and enhancing patient safety in surgical settings.

Main Methods:

  • A modified Delphi method was employed, involving 22 experienced operating room nurse specialists.
  • A questionnaire based on a preceding study was used, with experts rating statement importance via an online survey (November 2022 - April 2023).
  • Reporting followed the Guidance on Conducting and REporting DElphi Studies (CREDES) checklist.

Main Results:

  • Consensus was reached on 73 out of 103 statements across three Delphi rounds.
  • The consensus indicators comprised 74% process indicators and 26% structure indicators.
  • Key areas of agreement included the utilization of the Surgical Safety Checklist and the optimization of the operating room environment.

Conclusions:

  • Consensus on perioperative safety indicators highlights the complexities of operating room patient safety.
  • A balanced integration of structure and process indicators is essential for comprehensive safety assessment.
  • The study provides practical guidance and consensus areas for clinical application to improve perioperative patient safety, emphasizing skills, presence, communication, and teamwork.